I was assaulted last December by being thrown face first to ground. Every piece of my nose and septum was broken. It was reconstructed but I am unhappy with results. Should I go with same doctor since he got my nose close after all the trauma? Should I look for another doctor? The following pictures are: current nose, photoshop envisioned results, and nose before. Is it possible to get close to my previous nose? What should I ask for specifically to achieve these results in consultation?
Answer: Perhaps all you need are osteotomies. Based on the current configuration of your nose and what you were looking to achieve, I believe you are looking for a straighter and narrower nasal bridge appearance. Sometimes that can be achieved just by repeating osteotomies to straighten somebody's nose. You could certainly get an opinion from the previous surgeon, and getting a second opinion from another reputable rhinoplasty specialist is never a bad idea. Thank you for this question. Sincerely, Dr Joseph
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Answer: Perhaps all you need are osteotomies. Based on the current configuration of your nose and what you were looking to achieve, I believe you are looking for a straighter and narrower nasal bridge appearance. Sometimes that can be achieved just by repeating osteotomies to straighten somebody's nose. You could certainly get an opinion from the previous surgeon, and getting a second opinion from another reputable rhinoplasty specialist is never a bad idea. Thank you for this question. Sincerely, Dr Joseph
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December 30, 2023
Answer: A straighter nose Hello from Istanbul. I'm truly sorry to hear about the trauma you experienced. Regarding your nose, contouring the sides of the nasal bones with bone shaving and osteotomies can help in achieving a straighter appearance. Considering it has been a year since your first surgery, you might now consider undergoing a revision procedure. Best of luck to you.
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December 30, 2023
Answer: A straighter nose Hello from Istanbul. I'm truly sorry to hear about the trauma you experienced. Regarding your nose, contouring the sides of the nasal bones with bone shaving and osteotomies can help in achieving a straighter appearance. Considering it has been a year since your first surgery, you might now consider undergoing a revision procedure. Best of luck to you.
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December 15, 2023
Answer: Rhinoplasty Hello! Thank you for your question. As far as I can see from your photos , Your wishes are possible with a single operation, for which I recommend a revision operation. It would be better face to face consultation. Best regards!
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December 15, 2023
Answer: Rhinoplasty Hello! Thank you for your question. As far as I can see from your photos , Your wishes are possible with a single operation, for which I recommend a revision operation. It would be better face to face consultation. Best regards!
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December 10, 2023
Answer: The changes you simulated are possible. More ... You narrowed the bridge some (makes sense that it would look wider after the fracture), and you also narrowed the tip. Narrowing the tip is working on the two cartilages that form the tip of the nose, and they probably weren't damaged in the trauma, because you just about need a huge laceration into the tip to make that kind of damage happen. But that tip narrowing should be possible, too. The operation, to the surgeon, would look like part reconstruction (getting the previously-fractured bones in the upper bridge in better position) and part regular rhinoplasty (because the work on the tip would look to the surgeon like the findings and procedures in a regular cosmetic rhinoplasty). So you select your surgeon as if you were never injured, but are looking for an excellent rhinoplasty surgeon. How *much* to narrow the tip, or change the bridge, or make other changes? We figure that out with morphs, like you began with, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.) Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs (especially the tip work) require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.
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December 10, 2023
Answer: The changes you simulated are possible. More ... You narrowed the bridge some (makes sense that it would look wider after the fracture), and you also narrowed the tip. Narrowing the tip is working on the two cartilages that form the tip of the nose, and they probably weren't damaged in the trauma, because you just about need a huge laceration into the tip to make that kind of damage happen. But that tip narrowing should be possible, too. The operation, to the surgeon, would look like part reconstruction (getting the previously-fractured bones in the upper bridge in better position) and part regular rhinoplasty (because the work on the tip would look to the surgeon like the findings and procedures in a regular cosmetic rhinoplasty). So you select your surgeon as if you were never injured, but are looking for an excellent rhinoplasty surgeon. How *much* to narrow the tip, or change the bridge, or make other changes? We figure that out with morphs, like you began with, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.) Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs (especially the tip work) require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.
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December 10, 2023
Answer: Rhinoplasty after trauma It takes at least one year in your age for the result of emergency nose fracture correction to mature. Only at that point you should make decision whether to consider correction rhinoplasty. Approximately 50% of patients in situation like yours would seek new surgery. Hope this helps.
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December 10, 2023
Answer: Rhinoplasty after trauma It takes at least one year in your age for the result of emergency nose fracture correction to mature. Only at that point you should make decision whether to consider correction rhinoplasty. Approximately 50% of patients in situation like yours would seek new surgery. Hope this helps.
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